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A 23-year-old man was admitted to the hospital for treatment of a mediastinal tumor.
The patient had been well until five months earlier, when a nonproductive cough developed. Antibiotic treatment resulted in only slight improvement. Nine weeks before admission, he had increasing dyspnea, with night sweats. A radiograph of the chest showed an anterior mediastinal mass; he was referred to this hospital.
A physical examination revealed evidence of the superior vena cava syndrome.
Laboratory tests were performed (Table 1 and Table 2). Radiographs of the chest (Figure 1) showed a lobulated anterior mediastinal mass obscuring the
Differential Diagnosis
Clinical Diagnoses
Dr. Marc B. Garnick's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
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